Tue.Oct 08, 2024

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Navigating Complex Healthcare Regulations: Expert Insights for Payers

BHM Healthcare Solutions

Navigating the complexities of healthcare regulations is a critical responsibility for payers. Ensuring compliance not only mitigates risks but also promotes efficiency, trust, and quality in patient care. The post Navigating Complex Healthcare Regulations: Expert Insights for Payers appeared first on BHM Healthcare Solutions.

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The Balance Between Promoting Data Sharing and Ensuring the Privacy and Security of Sensitive Health Information

Healthcare IT Today

We talk a lot about sharing data and how it will improve patient outcomes and interoperability, but do we talk enough about how to do it safely? Most of the data that we are looking to share is highly sensitive health information, the kind of information that cybercriminals love to hold for ransom. So not only is it highly sensitive, it is also highly sought-after.

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Carrum Health offers value-based treatment model for substance use disorders

FierceHealthIT

Substance use disorder continues to be a pervasive health challenge in the U.S. | Carrum Health, a company that established value-based Centers of Excellence for employers, unveiled Tuesday a new value-based treatment model for substance use disorders.

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Pieces Technologies Raises $25M Growth Round to Expand Leading Suite of Generative AI Solutions

Healthcare IT Today

Strategic Capital to Fuel Growth and New Product Offerings as Pieces Surpasses 5.4 Million Inpatient Clinical Summaries Across Major Health Systems Pieces Technologies, Inc. (Pieces or the Company), a leading clinical generative AI solution that supports inpatient care teams, announced today that it has completed a $25 million growth financing round consisting of new equity and the conversion of notes.

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Why Every Small Business Needs an HCM Solution: A Comprehensive Guide

Managing HR tasks like payroll, compliance, and employee data can overwhelm small businesses. That’s where a Human Capital Management (HCM) solution comes in. Our eBook, Why Every Small Business Needs an HCM Solution: A Comprehensive Guide , shows how an HCM system automates tedious processes, ensuring your business stays compliant and efficient. You’ll learn how to simplify payroll, eliminate costly errors, and empower your employees with self-service tools.

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How do we prevent chronic kidney disease upstream?

FierceHealthIT

Chronic kidney disease is a silent threat. | This week on "Podnosis," Fierce Healthcare's Emma Beavins chats with Healthy.io CEO Geoff Martin about how his company is helping to address the hidden crisis of chronic kidney disease.

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AI-Driven Collaboration Takes Center Stage at Health Industry Conference

FierceHealthIT

Denials by commercial health plans rose 56 percent in 2023. | Health system executives and end users convened with health plan attendees across a variety of disciplines – revenue cycle, utilization management, physician advisor, and case management.

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Study examines how robots can assist NHS day case surgery

DigitalHealth

A study is underway at Portsmouth Hospitals University NHS Trust (PHU) to show how da Vinci surgical systems can improve patient outcomes.

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Many MA beneficiaries have dental, vision or hearing benefits. But access gaps remain, study shows

FierceHealthIT

One of the key selling points of Medicare Advantage (MA) is the supplemental benefits plans can offer, especially extending coverage for dental, vision and hearing care that the traditional program | A new study published in Health Affairs finds that while these benefits are common in MA, low-income beneficiaries still face significant access barriers to dental, vision and hearing services.

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My Care portal to be rolled out across Northern Ireland

DigitalHealth

Northern Ireland's department of health is rolling out a patient portal which allows people to view parts of their medical records.

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Real-Life Examples of HIPAA Violations and How to Avoid Them

Speaker: Jack Clough, Chief Growth Officer

Download our 30-minute webinar where we delve into real-life examples of HIPAA violations and preventative measures every organization should know! You will learn: The critical factors that lead to HIPAA violations and how to identify them. Three compelling real-life cases of organizations that faced severe HIPAA penalties. Proven strategies to safeguard YOUR organization against HIPAA violations.

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Editor's Corner—What's new at the 2024 Fierce Health Payer Summit

FierceHealthIT

One year ago, we brought together top minds in the health insurance industry at our first Fierce Health Payer Summit. | One year ago, we brought together top minds in the health insurance industry at our first Fierce Health Payer Summit. This November, we're back in Austin, Texas with an agenda and speaker line-up that's even bigger.

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HealthTech IPO's in 2025? Omada Health, Hinge Health, Sword Health, Doctolib, Aledade, Quantum Health

Lloyd Price

Exec Summary: The IPO landscape for HealthTech startups in 2025 is likely to be dynamic, influenced by various factors such as market conditions, company performance, and regulatory changes. While it's challenging to predict with certainty which specific companies will go public, the following six HealthTech startups have the potential to be among the IPO candidates: 1) Omada Health: This company specialises in digital health programs for chronic conditions like diabetes and obesity.

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Federal departments, provider groups oppose HCSC in unpaid surprise billing lawsuit

FierceHealthIT

Major medical associations and the federal government are voicing their opinions in a controversial No Surprises Act lawsuit. | The federal government and a host of major medical associations are weighing in on a No Surprises Act case, disagreeing with a district court ruling that could make the law effectively powerless.

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Asynchronous care models and asynchronists set to play a central role in the future of care delivery

Lloyd Price

Exec Summary: Asynchronous care models refer to healthcare services that are delivered outside of the traditional in-person, synchronous setting. These models often involve the use of technology to facilitate communication and care delivery between healthcare providers and patients. Asynchronists, healthcare professionals who work remotely or asynchronously, are poised to play a pivotal role in shaping the future of care delivery.

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Best Practices to Streamline Compensation Management: A Foundation for Growth

Speaker: Joe Sharpe and James Carlson

Payroll optimization can be one of the most time-consuming and complex factors of small business management. Yet, organizations that crack the code on streamlining employee compensation often discover innovative avenues for growth. With the right strategies in place, outsourcing and streamlining payroll processes can result in substantial time and resource savings.

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DiMe partners with Google, Mayo Clinic to help health systems find lasting benefit in AI

FierceHealthIT

The Digital Medicine Society (DiMe) is partnering with Google and the Mayo Clinic to create a consensus-driven artificial intelligence implementation playbook for the healthcare industry. | The Digital Medicine Society will create free resources to help health systems meaningfully invest and successfully implement AI to transform the $4.5 trillion healthcare industry.

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New regulatory office will support healthcare AI innovations

DigitalHealth

Science secretary Peter Kyle has launched a regulatory office, which will support the healthcare sector to deploy AI innovations safely.

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Women's health startup Maven Clinic pockets $125M to invest in tech, value-based care

FierceHealthIT

Maven Clinic, a global virtual clinic for women’s and family health, clinched $125 million in a series F funding round. | The round brings Maven’s total funding to more than $425 million. Maven plans to use the capital to invest in its fertility benefits administration platform and virtual care delivery platforms.

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Building a Healthier Workplace from the Ground Up

GlobalMed

Creating a corporate wellness program might seem daunting, but with the right strategies, it’s not only achievable but highly rewarding. This guide will explore the steps and benefits of structuring an effective corporate wellness program designed to enhance employee well-being, productivity, and satisfaction. Understanding the Importance of Corporate Wellness Corporate wellness programs are no longer optional.

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How 3 Urgent Cares Tackled Key Metrics For Accelerated Growth

Considering the growth of your clinic? It’s difficult to advance any business today without using technology — but what will truly enhance your daily operations? How successful are other urgent care centers with these solutions? This article offers a glimpse into real-world technology experiences from urgent care centers like yours. Discover how various solutions can boost your growth potential and see firsthand how effective they are.

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Texas pauses $116B Medicaid contract awards; state health plans relieved

FierceHealthIT

Texas is halting the state’s new Medicaid contracts, a district judge declared Oct. 4. | A Texas judge sided with four health over plans over the state government. The state's Medicaid procurement process was deemed unfair.

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Beyond the Horizon: Digital Healthcare Marketing Trends Shaping the Future

Geonetric

Join Geonetric CEO Ben Dillon and a panel of our experts as they dive into: Using personalization to improve conversion rates SEO strategies in the age of AI Data use post-HIPAA tracking guidance Gen Z marketing strategies Design trends to improve user experiences You’ll leave this webinar with a better understanding of the trends that […] Read Beyond the Horizon: Digital Healthcare Marketing Trends Shaping the Future at Geonetric.com.

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Modernizing the Healthcare Financial Experience

FierceHealthIT

There are many complexities and challenges that can lead to inefficiencies and friction among payers, providers, and healthcare consumers in the payments landscape. | In this episode, we sit down with Mike Bernabe and Dylan Papa, we explore Zelis' approach to healthcare payment processing, and why payments consolidation is crucial to improve the provider and member experience.

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SCOTUS declines to hear Texas abortion law challenge, a blow to HHS' EMTALA enforcement

FierceHealthIT

The Supreme Court has declined to weigh in on the Biden administration’s challenge of a Texas law on emergency abortion care. | The Biden administration has leaned on the federal emergency care law to preserve abortion access in restricted states. On Monday the top court opted not to weigh in on lower courts' rulings in favor of state law.

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Pricing for Profit: How to Set, Negotiate, and Succeed

Speaker: Igli Laci, Strategic Finance Leader

In today’s competitive market, pricing is more than just a number — it’s the cornerstone of profitability. The right pricing strategy ensures that you capture the true value of your offering, paving the way for sustainable growth and long-term success. Join Igli Laci, Strategic Finance Leader, in this exclusive session where he will explore how a well-crafted pricing approach balances customer perception with business objectives, creating a powerful tool for securing both competitive advantage a